10D2013729 CLIA NUMBER - WALGREEN CO

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Laboratory Demographics

CLIA Number: 10D2013729

Facility Name: WALGREEN CO

Facility Address:
7520 W NEWBERRY RD
GAINESVILLE, FL
ZIP 32606
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Facility Phone Number: 352 333-7916

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1134464332

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	10D2013729
LAB Type	Pharmacy
Facility Name	WALGREEN CO
Street	7520 W NEWBERRY RD
City	GAINESVILLE
State	FL
ZIP	32606
Phone	352 333-7916
CertificateType	4
CertificateEffectiveDate	7/2/2023
CertificateExpirationDate	7/1/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024